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Stroke in Pediatric Diabetic Ketoacidosis: Case Series
Chandrika Azad1, Ravinder Kaur2, Dharmendra Kumar Singh2
1Department of Pediatrics, Government Medical College and Hospital, Chandigarh 160030, India.
Abstract:
Diabetic ketoacidosis (DKA) can present with various neurological complications, but stroke is rare. Here, we present three children with recent-onset diabetes with DKA, two of them had deep coma not responding to standard DKA regimen and the third one had seventh nerve palsy noted after recovering from coma. Computed tomography scan of head showed hemorrhage in the area of midbrain in one patient and infarcts in two patients. In any child of DKA with severe neurological impairment, possibility of stroke should be entertained.
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